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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 74(3-4)

AIR VENT OF VEIN GRAFT IN EXTRACRANIAL-INTRACRANIAL BYPASS SURGERY

https://doi.org/10.18999/nagjms.74.3-4.339
https://doi.org/10.18999/nagjms.74.3-4.339
14a394c3-4989-4a87-bb33-95c51014f444
名前 / ファイル ライセンス アクション
12_Oyama.pdf 12_Oyama.pdf (827.5 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2012-08-30
タイトル
タイトル AIR VENT OF VEIN GRAFT IN EXTRACRANIAL-INTRACRANIAL BYPASS SURGERY
言語 en
著者 OYAMA, HIROFUMI

× OYAMA, HIROFUMI

WEKO 45798

en OYAMA, HIROFUMI

Search repository
KITO, AKIRA

× KITO, AKIRA

WEKO 45799

en KITO, AKIRA

Search repository
MAKI, HIDEKI

× MAKI, HIDEKI

WEKO 45800

en MAKI, HIDEKI

Search repository
HATTORI, KENICHI

× HATTORI, KENICHI

WEKO 45801

en HATTORI, KENICHI

Search repository
NODA, TOMOYUKI

× NODA, TOMOYUKI

WEKO 45802

en NODA, TOMOYUKI

Search repository
WADA, KENTARO

× WADA, KENTARO

WEKO 45803

en WADA, KENTARO

Search repository
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
キーワード
主題Scheme Other
主題 Air vent
キーワード
主題Scheme Other
主題 Vein graft
キーワード
主題Scheme Other
主題 EC-IC bypass
キーワード
主題Scheme Other
主題 Saphenous vein
キーワード
主題Scheme Other
主題 Accessory branch
抄録
内容記述 Revascularization with a vein graft is a mandatory method for treatment of dissecting or pseudoaneurysms of the internal carotid artery. We report the necessity for an air vent from the vein graft and explain its use in our two cases. In Case 1, we searched for a great saphenous vein around its junction with a femoral vein during the harvest of vein graft. An accessory branch of that great saphenous vein was also found around the junctional region with a femoral vein, and was temporarily ligated. At first, anastomosis was completed on both the distal and proximal sides. After the proximal side of a vein graft was opened and the ligation of the branch was loosened, an air vent could be made through the branch of the vein graft. Multiple air bubbles and a large quantity of white microemboli were discharged through this branch. The postoperative course was uneventful. In Case 2, the air vent was omitted to shorten ischemia. During the opening of the vein graft, the migrated air was observed to move to the middle cerebral artery. A computed tomography scan demonstrated that brain infarction and dysarthria occurred postoperatively. The air vent of the vein graft is essential in extracranial-intracranial bypass surgery, because the air bubbles or microthrombi are easily trapped around the valve and cause cerebral infarction. An air vent can be easily made if the branch of a vein graft exists in the outflow pathway, because intraluminal air or thrombus can be washed out through the branch at the final stage of surgery.
言語 en
内容記述タイプ Abstract
出版者
言語 en
出版者 Nagoya University School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
ID登録
ID登録 10.18999/nagjms.74.3-4.339
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/7434/7434.html
ISSN(print)
収録物識別子タイプ PISSN
収録物識別子 0027-7622
ISSN(Online)
収録物識別子タイプ EISSN
収録物識別子 2186-3326
書誌情報 en : Nagoya Journal of Medical Science

巻 74, 号 3-4, p. 339-345, 発行日 2012-08
著者版フラグ
値 publisher
URI
識別子 http://hdl.handle.net/2237/16744
識別子タイプ HDL
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